Case Study
Delayed Diagnosis of Post operative Complication
Description
A 45 year old man died 16 hours after undergoing elective abdominal surgery.
Note: This case study was part of a 2008 Forum publication with related content.
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CRICO’s case studies educate you on what can go wrong in business settings and how you can prevent similar issues.
Unwitnessed Fall Highlights Gaps in Documentation
Case Study
A patient’s unwitnessed fall in the emergency department (ED) was not documented until the patient returned for further evaluation. Late documentation can be perceived as defensive and may make it difficult to defend care later if there is a lawsuit.
Lack of Follow-up Leads to Renal Cell Cancer Diagnosis Delay and Death
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A woman’s delayed follow-up on a kidney mass due to cost leads to terminal kidney cancer.
Medication Mix-up Contributes to Patients’ Death
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A nurse gave the wrong medication to a pneumonia patient, causing a fatal heart issue.
Failure to Order Medical Imaging Leads to Permanent Vision Loss
Case Study
A young adult suffered retinal detachment and vision loss after a delayed retained foreign body diagnosis.